犬が感染源と疑われた<I>Bartonella henselae</I>感染症の2例

DOI PubMed 被引用文献8件 参考文献12件

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  • Two Cases of Suspected<I>Bartonella henselae</I>Infection from a Dog
  • Two Cases of SuspectedBartonella henselaeInfection from a Dog

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A 55-year-old male was admitted to our hospital because of fever and left submaxillary, right ax-illary, and left inguinal lymphadenopathy. A presumptive diagnosis of rickettsiosis was made and treatment with oral doxycycline was started. Lymphadenopathy was partialy resolved after antibiot-ics treatment. Ablation of the left inguinal node was done and histopathological examination showed non-Hodgkin's lymphoma. Lymphadenopathy was resolved by chemotherapy. The second patient, a 40-year-old male, developed a tender submandibular node. Excisional biopsy of the node was per-formed to eliminate lymphoma. Histopathological examination revealed granulomatous lymphadeni-tis with follicular hyperplasia. The patients had no history of cat contact, but owned a dog. Diagnosis of both cases was confirmed by the detection of IgG antibodies toBartonella henselaewith an enzyme immunoassay. Our findings suggest that dogs are implicated inB. henselaeinfection and can serve as a reservoir of the organism as well as cats. In the abscence of other bacterial and especially after ex-posure to dogs, B. henselaeshould be included as possible cause of lymphadenopathy.

収録刊行物

  • 感染症学雑誌

    感染症学雑誌 73 (9), 930-934, 1999

    一般社団法人 日本感染症学会

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